A model of standardized training in basic life support skills of emergency medicine residents


ÇIMRIN A. H., Topacoglu H., Karcioglu O., Ozsarac M., Ayrik C.

ADVANCES IN THERAPY, vol.22, no.1, pp.10-18, 2005 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 22 Issue: 1
  • Publication Date: 2005
  • Doi Number: 10.1007/bf02850179
  • Journal Name: ADVANCES IN THERAPY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.10-18
  • Keywords: basic life support, training, residency, emergency medicine, RESUSCITATION, CPR
  • Dokuz Eylül University Affiliated: Yes

Abstract

This intervention study was designed to determine the current level of basic life support knowledge and skills of residents in a university-based emergency medicine residency program, and to investigate the potential benefit derived by these residents from a standardized theoretical and practical training session. All residents underwent tests before and after the training session. The residents were asked to perform basic life support on a recording cardiopulmonary resuscitation mannequin. Assessments were made using a 10-item checklist, with the highest score being 17. Each step performed by the resident was scored by an emergency physician for accuracy and effectiveness. Twenty-eight residents participated in the study. According to the modified Berden scale, the pretest and posttest scores were 11.2 +/- 2.9 and 15.6 +/- 1.0, respectively, and the mean difference was 4.36 +/- 2.9 (t test, P <.001). Only 11 residents (39.3%) were rated as "good" or "very good" in the pretest, whereas the corresponding figure in the posttest was 27 (96.4%) (P <.001). Skills, such as checking the airway patency (P <.001), checking breathing (P <.001), appropriate compression rate (P <.003), and delivering 2 effective breaths (P <.001), improved significantly. Depth of chest compression (P <.023) was improved significantly only in residents with fewer than 2 years of experience. The training process should comprise standardized courses to facilitate acquisition of the desired skills.